TW201416049A - Universal endotracheal tube adaptor of endoscopy system - Google Patents

Universal endotracheal tube adaptor of endoscopy system Download PDF

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Publication number
TW201416049A
TW201416049A TW101140220A TW101140220A TW201416049A TW 201416049 A TW201416049 A TW 201416049A TW 101140220 A TW101140220 A TW 101140220A TW 101140220 A TW101140220 A TW 101140220A TW 201416049 A TW201416049 A TW 201416049A
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Taiwan
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probe
breathing tube
snorkel
lens
regulator
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TW101140220A
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Chinese (zh)
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Feng-Yi Hsu
Uo-Long Hu
Rung-Jian Chen
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Taiwan Surgical Corp
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Priority to TW101140220A priority Critical patent/TW201416049A/en
Priority to CN201320684878.2U priority patent/CN203693539U/en
Publication of TW201416049A publication Critical patent/TW201416049A/en

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Abstract

This invention is to claim an endoscopy system applied to endotracheal intubation wherein it can transmit the distant capturing image inside endotracheal tube to the display of the handle. The endoscopy system comprises a long flexible stylet embedded in a micro camera system on the end wherein it is wrapped in the image transmitting cable to connect with the rotatable handle for the display function. The universal endotracheal tube adaptor is implemented to easily adjust the position of the camera lens of endoscopy system wherein it fits different sizes of endotracheal tubes.

Description

具萬用型呼吸管調節器的內視鏡系統Endoscope system with universal snorkel regulator

本公開之技術關於一種內視鏡系統,尤其指一種適用於醫療上氣管插管手術之影像輔助插管之工具。其具有可彎折塑形並固定呼吸管形狀之功能,並提供呼吸管內末端攝影視訊以即時影像指引呼吸管插入氣管之工具。特別是指一個可調整呼吸管末端與內視鏡系統的末端攝影機之相對位置的輔助氣管插管內視鏡系統。

The technology of the present disclosure relates to an endoscope system, and more particularly to a tool for image assisted cannula for medical upper endotracheal intubation procedures. It has the function of being bendable and shaped to fix the shape of the breathing tube, and provides a tool for guiding the snorkel into the trachea in an endoscope. In particular, it refers to an auxiliary tracheal intubation endoscope system that adjusts the relative position of the end of the breathing tube to the end camera of the endoscopic system.

醫療用氣管插管手術之內視鏡系統是使用內建微型攝影系統之長管,連接至可操控多方位旋轉螢幕之影像輔助系統。將該內視鏡系統之長管插入呼吸管中並調整呼吸管調節器使呼吸管末端與攝影機保持適當之相對位置以取得呼吸管末端視訊,再進行氣管插管。插管過程中可以螢幕顯示即時影像指引手術進行至插管結束,此螢幕可多方位旋轉使用,因應不同插管方向。呼吸管調節器則可調整不同呼吸管末端位置讓內視鏡系統適用不同尺寸之呼吸管。

先前進行氣管插管手術時,影像輔助工具以使用影像喉頭鏡( Video Laryngoscope)為主,其攝影鏡頭置於喉頭鏡末端以拍攝聲門入口協助插管。對困難插管而言,已定位的喉頭鏡若無法拍攝到聲門入口,將無法進行插管。

於一般的氣管插管手術中,常見使用可彎折金屬探條於呼吸管內,塑形並固定呼吸管來輔助氣管插管。使用微型攝影機鏡頭於此可彎折探條末端,可動態尋找聲門入口位置也可以避免剛性導管無法隨意彎折出合適的呼吸管形狀或軟性導管隨意擺動無法控制呼吸管的問題。即時影像輔助插管,可以快速掌握呼吸道結構以進行插管並減少與呼吸道分泌物和嘔吐物的接觸,可顯示影像的多方位旋轉的手持握把可以讓操作者使用最佳的姿勢與視野來進行插管。

當探條末端微型攝影機鏡頭超出呼吸管末端時,微型攝影機的鏡頭容易沾惹黏膜或口水以致影像模糊,或鏡頭刮傷組織。若探條末端微型攝影機鏡頭離呼吸管末端過遠時,微型攝影機的鏡頭容易被呼吸管遮蔽,可視區變小。本發明之呼吸管調節器用來調整探條末端微型攝影機鏡頭與呼吸管末端位置以取得最佳視野與手術安全。












The endoscopic system for medical endotracheal intubation is a long-term tube using a built-in miniature photographic system that is connected to an image-assisted system that can control a multi-directional rotating screen. The long tube of the endoscope system is inserted into the breathing tube and the snorkel regulator is adjusted to maintain the proper position of the end of the snorkel with the camera to obtain the end of the snorkel, and then the endotracheal tube is intubated. During the intubation process, the live image can be displayed on the screen to guide the operation to the end of the intubation. This screen can be rotated in multiple directions, depending on the direction of the intubation. The snorkel regulator adjusts the position of the end of the different snorkels so that the endoscope system can be used with different sizes of breathing tubes.

In the previous tracheal intubation operation, the image assisting tool was mainly based on the Video Laryngoscope, and the photographic lens was placed at the end of the laryngoscope to capture the glottis entrance to assist the cannula. For difficult intubation, if the positioned laryngoscope cannot capture the glottic entrance, the intubation will not be possible.

In general tracheal intubation surgery, it is common to use a bendable metal probe in the breathing tube to shape and fix the breathing tube to assist the tracheal intubation. Using a miniature camera lens to bend the end of the probe, the position of the glottal entrance can be dynamically searched for, and the rigid catheter can not be bent freely to shape the shape of the appropriate breathing tube or the flexible catheter can swing freely to control the breathing tube. Instant image-assisted intubation for quick access to the structure of the airway for intubation and reduced contact with respiratory secretions and vomits. The multi-directional rotating hand grip that displays images allows the operator to use the best posture and field of view. Intubation.

When the micro camera lens at the end of the probe is beyond the end of the snorkel, the lens of the micro camera is prone to mucous membranes or saliva so that the image is blurred, or the lens scratches the tissue. If the micro camera lens at the end of the probe is too far from the end of the breathing tube, the lens of the miniature camera is easily obscured by the breathing tube, and the visible area becomes small. The snorkel regulator of the present invention is used to adjust the position of the micro-camera lens and the end of the snorkel at the end of the probe for optimal field of view and surgical safety.












本發明的主要目的係在提供一個可調整呼吸管末端與微型攝影機鏡頭相對位置的即時影像輔助氣管插管的內視鏡系統。此內視鏡系統具有一可隨意彎折並塑形出最合適插管之呼吸管形狀的探條,其探條末端內建微型攝影系統。探條內部包覆傳輸影像線材至前端,與可手持操控多方位旋轉螢幕的握把相接可以讓操作者使用最佳的姿勢與視野來進行插管。
此內視鏡系統具有可調整探條末端攝影機鏡頭於呼吸管內位置之機構以取得最佳視野與手術安全,可避免當探條末端微型攝影機鏡頭超出呼吸管末端時,微型攝影機的鏡頭容易沾惹黏膜或口水以致影像模糊,或鏡頭刮傷組織。或當探條末端微型攝影機鏡頭離呼吸管末端過遠時,微型攝影機的鏡頭容易被呼吸管遮蔽,可視區變小。




SUMMARY OF THE INVENTION A primary object of the present invention is to provide an endoscopic system for an instant image assisted endotracheal intubation that adjusts the position of the end of the snorkel with the camera lens. The endoscope system has a strip that can be bent and shaped to best shape the shape of the breathing tube of the cannula, and a miniature photography system is built in the end of the probe. The inside of the probe wraps the image cable to the front end, and the grip of the hand-held multi-directional rotating screen allows the operator to intubate using the best posture and field of view.
The endoscope system has a mechanism for adjusting the position of the camera lens at the end of the probe in the breathing tube for optimal vision and surgical safety, and avoids the lens of the micro camera being easily worn when the micro camera lens at the end of the probe exceeds the end of the breathing tube. Muscle or saliva causes the image to be blurred, or the lens scratches the tissue. Or when the micro camera lens at the end of the probe is too far from the end of the breathing tube, the lens of the miniature camera is easily obscured by the breathing tube, and the visible area becomes small.




圖一為本發明之具有萬用型呼吸器調節器之內視鏡系統示意圖。其組成包括一可顯示影像的握把2,一末端內置攝影機的影像探條3,和一可移動調整呼吸管5位置的調節器4。在進行氣管插管手術時,本發明可提供清晰的影像指引醫生將呼吸管順利插入氣管內。圖二為可操控之多方位旋轉螢幕握把,其組成包括影像顯示螢幕6,手持握把7和旋轉轉軸8。醫生可以單手握持手持握把7,並將顯示螢幕6旋轉調整至適當可視位置進行氣管插管手術。圖三為可彎折之金屬探條,金屬長管9可依所需角度彎折,避免將呼吸管插入食道內,末端有內置鏡頭10,由金屬長管9包覆傳輸線材,經由連接器11將影像訊號傳至可顯示影像的握把2。圖四為可移動調整之呼吸管調節器,當影像探條3插入呼吸管5後,為因應不同尺寸之呼吸管,操控調節器按鈕12在多段可停滑軌13中移動套管內管15,確保鏡頭10和呼吸管末端保持適當之相對位置。圖五即為未使用調節器且呼吸管過短的狀況,鏡頭容易貼近目標物而導致失焦。圖六為使用調節器但還未調整好距離,鏡頭離目標物太遠,無法對焦且看到插管管徑,導致可視範圍縮減。圖七為使用調節器,鏡頭接近目標物可對焦,但看到插管管徑,鏡頭需再前進以增加可視範圍。圖八為使用調節器調整至最佳位置之狀態,目標物對焦清晰,視野廣闊無管徑遮蔽。圖九說明鏡頭伸出插管,將刮傷喉嚨的黏膜組織,鏡頭端也較易沾黏分泌物,造成鏡頭髒汙,影像成像模糊。

Figure 1 is a schematic view of an endoscope system with a universal respirator adjuster of the present invention. The composition includes a gripper 2 for displaying an image, an image probe 3 with a camera built into one end, and a regulator 4 for moving the position of the adjustable breathing tube 5. The present invention provides a clear image to guide the physician in smoothly inserting the snorkel into the trachea during an endotracheal intubation procedure. 2 is a steerable multi-directional rotary screen grip comprising a video display screen 6, a hand grip 7 and a rotary shaft 8. The doctor can hold the hand grip 7 with one hand and adjust the display screen 6 to an appropriate visual position for endotracheal intubation. Figure 3 shows the bendable metal probe. The metal long tube 9 can be bent at the required angle to avoid inserting the breathing tube into the esophagus. The end has a built-in lens 10, and the metal long tube 9 covers the transmission wire through the connector. 11 Transfer the image signal to the grip 2 that can display the image. Figure 4 is a movable adjustable snorkel regulator. When the image probe 3 is inserted into the breathing tube 5, the regulator adjuster button 12 moves the sleeve inner tube 15 in the multi-stage stop rail 13 in response to the different sizes of the breathing tube. Ensure that the lens 10 and the end of the breathing tube are in proper relative position. Figure 5 shows the situation where the regulator is not used and the breathing tube is too short. The lens is easily close to the target and causes out of focus. Figure 6 shows the use of the adjuster but the distance has not been adjusted. The lens is too far away from the target, unable to focus and see the diameter of the cannula, resulting in a reduced visual range. Figure 7 shows the use of the adjuster. The lens is close to the target to focus, but when the cannula is seen, the lens needs to be advanced to increase the visual range. Figure 8 shows the state in which the adjuster is used to adjust to the optimal position. The target has a clear focus and a wide field of view without masking. Figure 9 shows that the lens protrudes from the cannula, which will scratch the mucosal tissue of the throat, and the lens end is also more likely to be contaminated with secretions, causing the lens to be dirty and the image to be blurred.

1...內視鏡1. . . Endoscope

2...可旋轉螢幕握把2. . . Rotatable screen grip

3...探條3. . . Probe

4...調節器4. . . Regulator

5...呼吸管5. . . Breathing tube

6...螢幕6. . . Screen

7...握把7. . . Grip

8...旋轉轉軸8. . . Rotating shaft

9...探條之金屬彎管9. . . Probe metal pipe

10...鏡頭10. . . Lens

11...連接器11. . . Connector

12...調節器按鈕12. . . Regulator button

13...調節器多段可停滑軌13. . . Regulator multi-segment stop rail

14...套管外管14. . . Casing outer tube

15...套管內管15. . . Casing inner tube

圖一具萬用型呼吸管調節器的內視鏡系統外觀
圖二可操控多方位旋轉螢幕握把
圖三可彎折之金屬探條
圖四可移動調整之呼吸管調節器
圖五未使用調節器且呼吸管過短之狀態
圖六使用調節器但未調整好距離,鏡頭離目標物太遠之狀態

圖七使用調節器,鏡頭接近目標物可對焦,但有呼吸管管徑影響狀態
圖八使用調節器調整至最佳位置之狀態
圖九鏡頭伸出插管,刮傷喉嚨的黏膜組織之狀態

Figure 1 Appearance of the endoscope system with universal snorkel regulator Figure 2 Controllable multi-directional rotary screen grip Figure 3 Deformable metal probe Figure 4 Removable snorkel regulator Figure 5 Unused adjustment And the snorkel is too short. Figure 6 uses the regulator but does not adjust the distance, the lens is too far away from the target.

Figure 7 uses the adjuster, the lens is close to the target to focus, but there is a snorkel diameter influence state. Figure 8. Using the adjuster to adjust to the optimal position. Figure 9. The lens extends out of the cannula and scratches the mucosal tissue of the throat.

1...具萬用型呼吸管調節器的內視鏡系統內視鏡1. . . Endoscope system endoscope with universal spirometer regulator

2...可旋轉螢幕握把2. . . Rotatable screen grip

3...可彎折之影像探條3. . . Bendable image strip

4...呼吸管調節器4. . . Snorkel regulator

5...氣管插管之呼吸管5. . . Tracheal intubation

Claims (9)

一種內視鏡系統,該系統包含下列組成: 一末端內置攝影機系統的探條,一可顯示影像的握把,一可移動調整呼吸管位置的調節器An endoscope system comprising the following components: a probe with a built-in camera system at the end, a grip for displaying an image, and a adjuster for adjusting the position of the breathing tube 如申請專利範圍第一項所述之末端內置攝影機系統的探條其具有可彎折可塑形並固定呼吸管A probe for an end built-in camera system as described in the first paragraph of the patent application, which has a bendable shape and a fixed snorkel 如申請專利範圍第一項所述之末端內置攝影機系統的探條其內部具有傳送探條末端鏡頭所攝影之影像訊號至探條前端與顯示器相連接之線材The probe of the end built-in camera system as described in the first paragraph of the patent application has an internal image signal for transmitting the end lens of the probe to the wire connected to the display at the front end of the probe. 如申請專利範圍第一項所述之可顯示影像之握把其其為手持式握把並具有上下左右多方位角度旋轉螢幕機構The gripper capable of displaying an image as described in the first paragraph of the patent application is a hand held grip and has a top, bottom, left and right multi-angle rotation screen mechanism 如申請專利範圍第一項所述之可顯示影像之握把其可顯示探條末端鏡頭所攝影之視訊The image-capable grip as described in the first paragraph of the patent application can display the video captured by the end lens of the probe. 如申請專利範圍第一項所述之呼吸管調節器其具有可調整呼吸管末端與攝影機鏡頭之相對位置之機構A snorkel regulator according to the first aspect of the patent application, which has a mechanism for adjusting the relative position of the end of the breathing tube and the camera lens 如申請專利範圍第七項所述之呼吸管調節器其之相對之機構包含一固定在探條上並可在其上移動並多段固定之滑軌與呼吸管連接裝置。The opposite mechanism of the snorkel regulator of claim 7 includes a slide rail and a breathing tube connecting device fixed to the probe and movable thereon and fixed in multiple stages. 一種用於氣管插管手術之內視鏡系統,該系統的呼吸管調節器可自由上下移動以調整呼吸管末端與呼吸管內探條末端攝影機鏡頭之相對位置,可用於不同呼吸管尺寸的氣管插管手術An endoscope system for endotracheal intubation surgery, the snorkel regulator of the system is free to move up and down to adjust the relative position of the end of the breathing tube and the camera lens at the end of the probe in the breathing tube, and can be used for the trachea of different breathing tube sizes Intubation surgery 如申請專利範圍第五項該系統之呼吸管調節器機構,包含一固定在探條上並可在其上移動並多段固定之滑軌與呼吸管連接裝置。The snorkel regulator mechanism of the system of claim 5, comprising a slide rail and a breathing tube connecting device fixed to the probe and movable thereon and fixed in multiple stages.
TW101140220A 2012-10-31 2012-10-31 Universal endotracheal tube adaptor of endoscopy system TW201416049A (en)

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TW101140220A TW201416049A (en) 2012-10-31 2012-10-31 Universal endotracheal tube adaptor of endoscopy system
CN201320684878.2U CN203693539U (en) 2012-10-31 2013-10-31 Endoscope system with universal breathing tube regulator

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107374565A (en) * 2016-05-17 2017-11-24 威强电工业电脑股份有限公司 The pharyngoscope of rotatable and upset display

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107374565A (en) * 2016-05-17 2017-11-24 威强电工业电脑股份有限公司 The pharyngoscope of rotatable and upset display

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